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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date March 5, 2018 <br />Name Roger Nawrot <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />❑ Agreement <br />H Contract U Proposal U Addendum <br />❑ Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />® Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control: <br />F1 Other: <br />Company or Vendor Name <br />C & E Excavating , Inc. <br />New Vendor <br />❑ Yes E No ❑ If Yes, Approved by Purchasing <br />MBEIWBE Contractor <br />❑ MBE ❑ WBE <br />MBEIWBE Contractor Requested <br />❑ No ❑ Yes Name of Company <br />Project Name <br />Ironwood Drive Pavement Rehabilitation and Intersection <br />Project Number <br />117-071A <br />Funding Source <br />Local Road & Bridge Grant <br />Account No. <br />265-0608-431.36-10 <br />Amount <br />$ 1,347,592.50 <br />Terms of Contract <br />Not to Exceed <br />Purpose/Description <br />Award the Base Bid and Alternates A & B <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />ersnlyoChqange Red F <br />Amount of ❑ Increase <br />$ <br />❑ Decrease <br />$ <br />Copy Original <br />® <br />❑ Kara Boyles <br />